Prognostische Bedeutung der Operationsmorbidität in der Versorgung der koxalen Femurfraktur des betagten Menschen
The Prognostic Significance of Operative Morbidity in the Treatment of Coxal Femur Fractures in Aged Patients
The influence of operative morbidity on clinical long-term results is evaluated in a prospective study employing a consecutive series of 120 patients (mean age, 82.5 ±4.7 years) with operatively treated fractures of the coxal femur. Perioperative complications which were observed in 37.5%, with a predominance of urinary tract infection (n = 26), bronchopneumonia (n = 16) and cardiac decompensation (p= 4), were significantly associated with a pertrochanteric fracture localization (p< 0.05), prolonged latency from trauma to surgery (p<0.01), and a prevalence of three and more internal diseases (p<0.01). At 1-year follow-up patients with a perioperative complication had a significantly worse performance scoring (p<0.01) than individuals with an unimpaired perioperative course. This leads to the conclusion that perioperative morbidity decisively influences functional outcome in the elderly patient.
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